Doctor Name: | MARIA BAKER SARGENT |
NPI Number: | 1023191392 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ARNP |
License Number: | 4971P |
Business Practice Address: | 100 Bellefonte Dr Grayson, KY - 411431820 |
Business Phone Number: | 6064740669 |
Business Fax Number: | |
Mailing Address: | Po Box 9085, BELFAST |
State: | ME |
Postal Code: | 049159085 |
Phone Number: | 8772144267 |
Fax Number: | 6068334668 |
NPI Enumeration Date: | 10/23/2006 |
NPI Last Update Date: | 11/04/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 4971P |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | KY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |